Uses of fascia in ophthalmology and the benefits of autogenous sources.

Fascia has long been available for use in ophthalmology. Although slow in its development, it has been used in a variety of clinical entities; ptosis, telecanthus, retinal detachment, scleral wall defects, impending or extruded implants, lower lid ptosis, and retracted upper lids. It is a versatile, ideal tissue for the use in repair and reconstruction of the eye and adenexa. Although complications are minimal, they can virtually be eliminated by using autogenous fascia. The increased surgical time and minimal patient morbidity are justified by the decrease in the complication rate. Autogenous fascia is not recommended in children under 3 1/2 years of age due to the small size of the leg.